Sample Record
Owner Lab
- CT SC - 3665 - Shingle Springs
DIME Sample ID 2022-05-25-47
Project Information
Project Identifiers | Project ID: 214572 DEA: 034E62U4 EFIS: 0319000068 |
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DIST-CO-RTE-PM | 03-ED-50-18.5/24.2 |
Award Date | 05/04/2020 |
Closeout Date | Not set |
Work Description | CONSTRUCT UC, MED BARRIER, DRAINAGE SYSTEMS & HMA OVERLAY. |
Location Description | EL DORADO COUNTY IN AND NEAR PLACERVILLE FROM MOSQUITO ROAD UNDERCROSSING TO SCHNELL SCHOOL ROAD UNDERCROSSING AND FROM 0.2 MILE WEST OF STILL MEADOW ROAD TO 0.2 MILE EAST OF CARSON ROAD |
QA Service Level | 1 (Verified on 03/18/2020) |
Sample Information
Sample Taken Date | 05/25/2022 | Sample Unique Key | 47 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
The quantity of what the sample constitutes | 28.5 CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Raymond | Last name of sampler or witnessed by | Macy |
Title of sampler | SR | Telephone number of sampler | 9162035039 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Syar Concrete Shingle Springs | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | CT072CR5WA |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | TBD | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Back of truck chute | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |